Festival Drugs Flashcards

1
Q

Synthetic cannabinoids

A

Cannabis + synthetic additives
Many active chemicals

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2
Q

MDMA effects

A

Exertional Hyperpyrexia
Rhabdomyolysis
Serotonin syndrome
HypoNa+ -> cerebral oedema
Isolated acute liver failure
CVA
Acute anxiety and panic disorder

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3
Q

Causes of exertional Hyperpyrexia with MDMA

A

Prolonged exertion
Hot environment
Amohetamine like effects - promotion of repetitive movements, dysregulation of body signals
Serotonin effects

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4
Q

How does MDMA cause hyponatraemia

A

Increased water intake due to compulsion or impaired judgement
Excess ADH production

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5
Q

MDMA OD tx

A

Diazepam - anxiety, agitation, seizures
Fluid restrict, hypertonic saline - hyponatraemia
Sodium bicarbonate - met acidosis
Labetalol - hypertension
Fluids - hypotension
Cooling, dantrolene - hyperthermia
Supportive - organ failure

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6
Q

Why can MDMA cause stridor and feeling of obstruction

A

Swollen uvula after sleeping on back

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7
Q

What drugs should be suspected in a pt with normal vitals and muscle contraction

A

MDMA and/or ketamine
Give benzos

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